Contract Pharmacy Details

CAREMARK, L.L.C.
STD900222 Bienestar Human Services, Inc

Covered Entity Details

Entity Name

Bienestar Human Services, Inc

Subdivision Name

HIV & STD Programs

Type

Sexually Transmitted Diseases

340B ID

STD900222

Entity Address

5326 E BEVERLY BLVD
LOS ANGELES, CA 90022-2104

Grant Number

6NU62PS924569

Participating Start Date

7/1/2021

Last Recertification Date

5/10/2024

Pharmacy Details

Pharmacy Name

CAREMARK, L.L.C.

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119

Pharmacy Comments

Contract Details

Approval Date

7/12/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/18/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Robert Contreras, President & CEO
(323) 545-6577

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/12/2021

340B Drug Pricing Program Database